Organization
BEAUFORT PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D MARTIN III MD (PRESIDENT)
(843) 524-5437
Entity
Organization
Contact information
Practice address
964 RIBAUT RD, BEAUFORT, SC 29902-5429
(843) 524-5437
(843) 524-0425
Mailing address
964 RIBAUT RD, BEAUFORT, SC 29902-5429
(843) 524-5437
(843) 524-0425
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
12254
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC156
—
SC
Enumeration date
12/14/2006
Last updated
11/11/2024
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